• Med. Clin. North Am. · Mar 2024

    Review

    Proctitis: An Approach to the Symptomatic Patient.

    • Candice J McNeil, Luis F Barroso, and Kimberly Workowski.
    • Department of Medicine, Section on Infectious Diseases, Wake Forest University School of Medicine. Electronic address: cmcneil@wakehealth.edu.
    • Med. Clin. North Am. 2024 Mar 1; 108 (2): 339354339-354.

    AbstractProctitis is an inflammatory condition of the distal rectum that can be associated with common sexually transmitted infections (STIs), such as gonorrhea, chlamydia, and syphilis. For persons presenting with ulcerative findings on examination, in addition to syphilis, Mpox, lymphogranuloma venereum, and herpes simplex virus should be in the differential. Providers should also be aware that there are evolving data to support a role for Mycoplasma genitalium in proctitis. Performing a comprehensive history, clinical evaluation including anoscopy, and rectal nucleic amplification STI testing may be useful in identifying the cause of proctitis and targeting treatment.Copyright © 2023 Elsevier Inc. All rights reserved.

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